Mathiasen, Ronald

Mathiasen, Ronald is an individual health care provider with primary practice located at 10670 Wexford St , San Diego CA 92131-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mathiasen, Ronald can be contacted via phone (858) 621-4090.

Contact Information

Primary practice address
10670 Wexford St San Diego CA 92131-3940
Phone: (858) 621-4090
Fax: (858) 621-4044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A064829 California

Profile Details

NPI number 1790740629
LBN Legal business name Mathiasen, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jun 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790740629 NPPES
California Other 020045191 RAILROAD
California MEDICAID 00A648290 RAILROAD

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